DR. Justin Ryan Glazer, D.D.S. is an oral and maxillofacial surgery dentist in Massapequa, NY with 18 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Justin Ryan Glazer, D.D.S. NPI is 1912156241. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduation Year:2006
The provider's business location address is:
930 N BROADWAY
MASSAPEQUA, NY
ZIP 11758-394
Phone: (516) 541-2400
Fax: (516) 308-3812
The NPI 1912156241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 9/10/2008 and was last updated on 4/24/2024.